Organization Active NPI

Burnet Hospice Care, Incorporation

Doing business as Reliance Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Cerritos, CA
National Provider Identifier
1457642977
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BURNET HOSPICE CARE, INCORPORATION
Doing business as
Reliance Hospice and Palliative Care
Practice address
18000 Studebaker Rd Ste 110
Cerritos, CA 90703-2684
Phone
(323) 446-4493
Fax
(323) 544-4987
NPI assigned
May 2, 2011
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Phan
Title
President
Phone
(323) 446-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

18000 Studebaker Rd Ste 110
Cerritos, CA 90703-2684

Mailing address

19750 S. Vermont Ave
Suite 160
Torrance, CA 90502-9900
Phone (323) 446-4493

Other names 1

  • Reliance Hospice and Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110726000112 CA Part A Provider - Hospice 4789852310 Practice locations: Cerritos, CA
O20220719001703 CA Part B Supplier - Clinic/Group Practice 4789852310 Receives reassigned benefits from 2 practitioners
Practice locations: Cerritos, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457642977. Details of each certification follow.

Hospice certification: CCN 551675

Legal name
BURNET HOSPICE CARE INCORPORATION
Doing business as
RELIANCE HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 17, 2012
Last certification
Feb 29, 2020
Ownership / control type
Proprietary - Partnership
Organization structure
CorporationProprietary
Enrollment address
17785 Center Court Dr N
Ste 640
Cerritos, CA 90703-9345

Care Compare: Hospice

Medicare Care Compare
Listed as
Reliance Hospice and Palliative CareCCN 551675 · All quality measures
Ownership
For-Profit
Certified
Sep 17, 2012
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2104341Burnet Hospice Care Inc17785 Center Court Dr N, Cerritos, CA 90703Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory

Locations

17785 Center Court Dr N
Ste 640
Cerritos, CA 90703
Phone (323) 446-4493

18000 Studebaker Rd
Ste 110
Cerritos, CA 90703
Phone (323) 446-4493

5120 W Goldleaf Cir
Ste 250
Los Angeles, CA 90056
Phone (323) 446-4493

12235 Beach Blvd
Ste 104
Stanton, CA 90680
Phone (323) 446-4493

19750 S Vermont Ave
Ste 160
Torrance, CA 90502
Phone (877) 659-5998

7715 Burnet Ave
#C
Van Nuys, CA 91405
Phone (818) 442-9900

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carelink, LLC Organization, Santa Ana, CA LLC 5% Or Greater Direct Ownership Interest Jun 20, 2013 100%
Bee Lu Khaw-Hone Individual W-2 Managing EmployeeAd;DPCS Aug 26, 2024
Mirta Maccio Individual W-2 Managing EmployeeAd; May 16, 2023 100%
Jean M Hunn Individual 5% Or Greater Indirect Ownership Interest Jun 20, 2023 20%
Terence P Rhone Individual W-2 Managing EmployeeMD; Sep 1, 2023 100%
Andrew H Nguyen Individual 5% Or Greater Indirect Ownership Interest Jun 20, 2013 80%
William Daniel Welsh Individual W-2 Managing EmployeeMD; Sep 15, 2025
Lauren T Phan Individual Corporate OfficerPresident Nov 1, 2016 100%
Corporate DirectorPresident Nov 1, 2016 100%
W-2 Managing EmployeePresident Nov 1, 2016 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1457642977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19750 S. VERMONT AVE",
            "address_2": "SUITE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905029900",
            "telephone_number": "323-446-4493",
            "fax_number": "323-544-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 110",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684",
            "telephone_number": "323-446-4493",
            "fax_number": "323-544-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNET HOSPICE CARE, INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-446-4493"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliance Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reliance Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.